DAVID F MARTIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931595

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

MARTIN

Suffix

Business Name

DAVID F MARTIN OD

Original Issue Date

11/07/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

02/24/2006